Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Lynn Cannavino, LCSW

Individual provider Counselor · NPI 1457724361

Stacy Lynn Cannavino, LCSW is a Counselor in Athens, Pennsylvania. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

104 Water St
Athens, PA 18810-1002
Phone: (570) 423-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1779893 (NY)
Counselor Taxonomy 101Y00000X

Record details

NPI number1457724361
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 2, 2015
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

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